开胃醒脾药，崩晕顿减。继服大补脾丸，甫半月，饮啖起居如故。若泥血病而专用血药，其与刻舟求剑者何以异？
张飞畴治郭孝闻室，暑月经行时，凉卧风中，先下淋漓，加以恼怒跌哭，遂崩脱不止，小腹中如线下垂，
贯心掣痛，常发热头痛，遍体烦疼。服止血药不应，而进参、 ，忽昏愦不省，崩脱愈甚。深夜忽遽邀往，脉
得弦大而芤，独左寸尤滑，知冲任二脉受病，明是风入胞门所致。久之风从木化，血愈伤而火愈炽，非旋复花
汤、金铃子散兼进，不能清其风热，降其逆气也。况此症多有火淫血室，湿结子户，及郁结伤脾，怒动肝火，
及惊恐失跌，种种不同。若用通套升发补敛之药，乌能获效哉？遂如法治之而愈。
妇人崩中下血，多因温热伤脾胃而致。盖脾统血，伤则失守也。医不知其脾湿而化，与固脱之剂，血虽止
而湿转郁矣。是以崩中之后，多成胀满黄病，医多不能识此。
沈尧封曰∶崩症热多寒少，若血大至，色赤者是热非寒。倘色紫黑，出络而凝，其中有阳虚一症。经云∶
阳气者，卫外而为固也。荣行脉中，卫行脉外。脉外之阳虚，失于护卫，则脉中之荣血漏泄。既出经络，脉凝
而不流，渐渐变紫变黑，然必须少腹恶寒，方可投温。
一妇血崩，日服人参、阿胶，血不止。用地榆二钱，生地四钱，生白芍三钱，川黄连五分，黄芩一钱五分，
炒甘草八分，莲须一钱，丹皮一钱五分，黑栀子一钱，生牡蛎二钱，煎服即效。因其带多，偶以苦参易芩，血
复至，用芩即止。去连，血又至，加连即止。又一妇患崩月余，发晕几脱，是方加参一钱，服之即定，十剂而安。
一妇患崩，年五旬，投人参、阿胶不效。一二日用黄连五分，甚不相安。一医云∶是气病，用酒炒香附、
归、芍、丹皮、黄芩、牡蛎、枣仁、黑荆芥各二钱，郁金一钱五分，橘皮一钱，上沉香磨冲三分，柴胡五分，
棕榈炭八分，煎服一剂崩止。去柴胡、棕榈、荆芥，数剂食进。后加白术为散，服之作胀，减去即安。
一崩症少腹恶寒，用桂附八味丸收全效。
毛达可妇人，迈年骤然血海大崩不止，名曰倒经。用胶红饮神效。其方∶陈阿胶，米粉拌炒成珠一两，全
当归一两，红花八钱，冬瓜子五钱，以天泉水煎服，一剂即止。如犹发热，再以六安茶叶三钱，煎服一次，身
热即退。后用六君子汤加归、芍调理而安。昔当中丞幕友王遇伯之母，年逾七旬，偶患此症，诸药不应。李廉
访治运转，此方投之即愈。叶天士云∶初崩宜通，久崩宜塞，即此义也。予每治老妪倒经，极多神应。后
见少妇大崩不止，屡服大料补剂不效，血流反多，昏晕几危，予取此方，减去红花一半，投之立效。如法调理，
康复如常。
Taking herbs to open the stomach and awaken the spleen, the metrorrhagia (uterine bleeding) and dizziness were instantly alleviated. Subsequently taking Dabu Pi Wan (Greatly Tonify the Spleen Pill), after just half a month, diet and daily activities returned to normal. If one sticks rigidly to "blood diseases" and exclusively uses blood-tonifying or hemostatic herbs, what difference is there from carving a mark on a moving boat?
Zhang Feichou treated the wife of Guo Xiaowen. During the summer months, while menstruating, she lay coolly in the wind. Initially, there was dripping menstrual flow; aggravated by anger, falling, and crying, it progressed to unstoppable metrorrhagia. There was a sensation of something hanging down like a thread in the lower abdomen, pulling pain extending to the heart, frequent fever and headache, and general body soreness and irritability. Hemostatic herbs were ineffective. Upon administering Ginseng Radix et Rhizoma (Renshen, 人参) and [missing herb], she suddenly became comatose and unconscious, and the metrorrhagia worsened. Summoned urgently late at night, her pulse was wiry, large, and hollow (Kou Mai, 芤脉), with the left Cun position particularly slippery. It was determined that the Chong and Ren meridians were diseased, clearly caused by Wind pathogen invading the uterus (Bao Men, 胞门). Over time, Wind transformed into Wood-Fire, injuring blood further and intensifying Fire. Without simultaneously administering Xuanfu Hua Tang (Inula Flower Decoction) and Jinlingzi San (Corydalis Fruit Powder), the Wind-Heat could not be cleared, nor the rebellious Qi lowered. Moreover, such cases often involve Heat harassing the Blood Chamber, Dampness knotting in the Zi Hu (uterus), emotional stagnation injuring the Spleen, anger stirring Liver Fire, or fright and falling. Using generic ascending, dispersing, tonifying, or astringent herbs would certainly fail. Thus, treating according to this method resulted in a cure.
Female metrorrhagia and hypomenorrhea are often caused by Warm-Heat damaging the Spleen and Stomach. The Spleen controls the blood; when damaged, it loses its holding capacity. Physicians who do not recognize that this arises from Spleen Dampness transformation and administer astringent/depletion-stopping agents may stop the bleeding, but the Dampness becomes stagnant. Consequently, post-metrorrhagia often leads to distension and jaundice, a condition many physicians fail to identify.
Shen Yaofeng stated: Metrorrhagia cases have more Heat than Cold. If the volume is large and the color bright red, it is Heat, not Cold. If the color is purple-black and clots upon exiting the vessels, there is a type of Yang Deficiency. The Classics state: Yang Qi guards the exterior and secures the interior. Ying (Nutritive) Qi circulates within the vessels, while Wei (Defensive) Qi circulates outside. When exterior Yang is deficient and fails to guard, Ying blood within the vessels leaks out. Once out of the collaterals, the vessels congeal and flow stagnates, gradually turning purple and black. However, only if there is cold aversion in the lower abdomen should warming formulas be administered.
A woman with metrorrhagia took Ginseng Radix et Rhizoma (Renshen, 人参) and Donkey-hide Gelatin (Ejiao, 阿胶) daily, but bleeding continued. She was prescribed Diyu Herba (Yusheng, 地榆) 2 qian, Shengdi Huang (Rehmanniae Radix Recens, 生地) 4 qian, Baishao Radix (Raw White Peony Root, 生白芍) 3 qian, Chuan Lianzi (Szechwan Chinaberry Seed, 川黄连 - *Note: Text says Chuan Huanglian, likely Coptidis Rhizoma*), Huanglian (Coptidis Rhizoma, 黄连) 5 fen, Huangqin Radix (Scutellaria Root, 黄芩) 1.5 qian, Chao Gancao (Fried Licorice Root, 炒甘草) 8 fen, Lianxu (Lotus Stamen, 莲须) 1 qian, Danpi (Moutan Cortex, 丹皮) 1.5 qian, Hei Zhizi (Black Gardenia Fruit, 黑栀子) 1 qian, and Sheng Muli (Raw Oyster Shell, 生牡蛎) 2 qian. Decocted and taken, it was effective immediately. Because she had excessive leukorrhea, Kushen Radix (Sophora Root, 苦参) was occasionally substituted for Huangqin, causing bleeding to resume; using Huangqin stopped it again. Removing Huanglian caused bleeding to resume; adding Huanglian stopped it. Another woman suffered from metrorrhagia for over a month, experiencing dizziness nearly leading to collapse. Adding 1 qian of Renshen to this formula stabilized her, and ten doses brought peace.
A fifty-year-old woman with metrorrhagia did not respond to Renshen and Ejiao. Taking 5 fen of Huanglian for one or two days caused significant discomfort. A physician diagnosed this as a Qi disorder and prescribed Jiuchao Xiangfu (Wine-fried Cyperi Rhizoma, 酒炒香附), Danggui Radix (Angelica Sinensis Root, 当归), Baishao Radix (White Peony Root, 白芍), Danpi, Huangqin, Muli, Zaoren (Ziziphus Seed, 枣仁), and Hei Jingjie (Black Schizonepeta, 黑荆芥) each 2 qian, Yujin (Curcuma Tuber, 郁金) 1.5 qian, JuPi (Tangerine Peel, 橘皮) 1 qian, Shang Chenxiang (Agarwood, 沉香) 3 fen ground and mixed, Chaihu (Bupleurum Root, 柴胡) 5 fen, and Zonglutan (Palmae Fructus Carbonisatum, 棕榈炭) 8 fen. One dose stopped the bleeding. Removing Chaihu, Zonglutan, and Jingjie allowed appetite to return over several doses. Later, Baizhu (Atractylodes Macrocephala Rhizome, 白术) was added as a powder; abdominal distension occurred, which resolved upon reduction.
One case of metrorrhagia with cold aversion in the lower abdomen was fully cured using Guifu Bawei Wan (Cinnamon and Aconite Eight-Ingredient Pill, 桂附八味丸).
The wife of Mao Dakao, an elderly woman, experienced sudden, massive uterine bleeding, termed Daojing (Reverse Menstruation, 倒经). Jiaohong Yin (Gelatin and Safflower Decoction, 胶红饮) was highly effective. The formula consists of Chen Ejiao (Aged Donkey-hide Gelatin, 陈阿胶) stir-fried with rice flour until pearl-like, 1 liang; Quan Danggui (Whole Angelica Sinensis Root, 全当归) 1 liang; Honghua (Carthamus Flower, 红花) 8 qian; Dongguazi (Winter Melon Seed, 冬瓜子) 5 qian. Decocted in Tianquan Spring water, one dose stopped the bleeding. If fever persisted, Lu'an Tea (Lu'an Green Tea, 六安茶叶) 3 qian decocted once reduced the fever. Subsequently, Liujunzi Tang (Six Gentlemen Decoction, 六君子汤) plus Danggui and Baishao regulated her health. Previously, the mother of Wang Yubo, a幕友 (private secretary) to Vice Minister Zhang, over seventy years old, suffered this condition with no response to various medicines. Li Lianfang treated her; this formula cured her instantly. Ye Tianshi said: Initial metrorrhagia should be treated with unblocking methods, prolonged metrorrhagia with astringent methods; this illustrates that principle. I frequently treat elderly women with Daojing with great efficacy. Later, I saw a young woman with unstoppable massive bleeding who failed numerous heavy tonics, resulting in increased flow and near-collapse from syncope. I used this formula, reducing Honghua by half, which worked immediately. Following this regimen, she recovered completely.